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MODERN MOVEMENT PLLC
NPI 1275366510
Chiropractor in Eureka, IL

Active since August 22, 2024
1815 S MAIN ST, EUREKA, IL 61530(309) 265-0200(309) 205-3896 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Aug 22, 2024 (2 updates tracked since 2024).

About Modern Movement Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN MOVEMENT PLLC (NPI 1275366510) is a healthcare organization registered as a chiropractor in Eureka, Illinois and active in the NPI registry since August 2024. The organization lists Keith W Walder, Owner, as its authorized official.

NPPES Registry Identity

NPI1275366510
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMODERN MOVEMENT PLLC
Location Address1815 S MAIN STEureka, IL 61530-1707
Mailing Address1815 S Main StEureka, IL 61530-1707 · (309) 265-0200 · Fax (309) 205-3896
Phone(309) 265-0200
Fax(309) 205-3896
Organization SubpartNo
Authorized OfficialKeith W WalderOwner · (309) 265-0200
Enumeration DateAugust 22, 2024
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1275366510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1815 S MAIN ST, Eureka, IL 61530
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Movement Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modern Movement PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Keith Walder, DC
Chiropractic
NPI 1659102382
1815 S MAIN ST
Eureka, IL 61530
(309) 265-0200
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Movement PLLC's NPI number?

The NPI number for Modern Movement PLLC is 1275366510. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Modern Movement PLLC located?

Modern Movement PLLC is located at 1815 S Main St, Eureka, IL 61530. The listed phone number is (309) 265-0200.

What is Modern Movement PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Modern Movement PLLC enrolled in Medicare?

Yes. Modern Movement PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Movement PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Modern Movement PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Modern Movement PLLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.